CHILD REGISTRATION FORM

Child Information

First name

Last name

Date of Birth

Day

Month

Year

Gender

Male

Female

Age Group

Parent/Guardian Information

Full Name

Relationship to Child (Mother, Father, Guardian, etc.)

Phone

Home Address

Emergency Contact Details

Emergency Contact Name or other contact

Emergency Contact Number

Relationship to Child

Medical & Special Needs Information

Does your child have any special needs, medical conditions, allergies, or additional support requirements we should be aware of?" (If yes, please provide details below)

Does your child have any dietary restrictions? (If yes, please specify)

Media Consent (Photos & Videos)

Do you give permission for your child to be photographed or recorded for KADA’s social media, promotional materials, and website?

I confirm that my child has permission to participate in KADA activities and I agree to the Terms & Conditions."

(Checkbox required before submission)

Pay What You Can

£20

£30

£50

Yes, subscribe me to your newsletter.

Make a donation 💛

Every child deserves the chance to dance! Your donation helps sponsor a child’s place at KADA, ensuring no one misses out. Give what you can & make a difference today

Frequency

One time

Monthly

Yearly

0/100

Comment (optional)

Book a class

Age 5-10 (Kids dance classes Birmingham)
Ages 5-10
Read More
Loading days...
Pay What You Can
Book Now
Age 11-16 (Kids dance classes Birmingham
Ages 11-16
Read More
Loading days...
Pay What You Can
Book Now

Psalm 24:7-8 - Open up Gates! Let the King of Glory in! Who is He? The Lord, Strong and Mighty in Battle

CHILD REGISTRATION FORM

Make a donation 💛

Book a class

Age 5-10 (Kids dance classes Birmingham)

Age 11-16 (Kids dance classes Birmingham